Medicus, Vol. 12 No. 2_Spolne bolesti, 2003.
Review article
Acute Chlamydial Urethritis/Cervicitis
Borut Kobal
Abstract
Mucopurulent cervicitis and nongonococcal
urethritis are most common sexually transmitted diseases in
developed countries caused by Chlamydia trachomatis, and
affecting adolescents, women under 25 and men under 35
years of age. Prevalence of the infection depends on the presence
of risk factors and specificities of social environment. Age
seems to be the most important predictor, and when clinical or
laboratory signs of mucopurulent cervicitis are present, subjects
should be tested for causative agents. The selection of a
diagnostic test for detection of chlamydial genital infection
depends on availability, local expertise, and prevalence of
Chlamydia trachomatis in the tested population. Today, a single
oral dose of 1 g azithromycin is the preferred treatment. The
recommendations for retesting are presented. Treatment of
uncomplicated chlamydial infection aims at the diminution of
persistent form with complications on reproductive health, like
ectopic pregnancy and tubal infertility, as well as potential complications
in pregnancy and in a newborn child.
Keywords
urethritis; cervicitis; Chlamydia trachomatis; Treatment
Hrčak ID:
20544
URI
Publication date:
7.10.2003.
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